Global journal of community psychology practice最新文献

{"title":"The Capabilities Approach, Transformative Measurement, and Housing First","authors":"Timothy Macleod","doi":"10.7728/0501201405","DOIUrl":"https://doi.org/10.7728/0501201405","url":null,"abstract":"Transformative change to mental health systems involves transformation in how practices, policies, and research respond to the needs of individuals with psychiatric disabilities. This paper presents Amartya Sen’s capabilities approach as a promising framework for outcome measurement congruent with the aims of transformative change in mental health systems. In this paper, Sen’s capabilities approach is contrasted with therapeutic and citizenship values as well as the Housing First approach to housing. The capabilities approach is examined in detail with regard to outcome measurement. Finally, this paper shows the value added of the capabilities approach to transformative mental health. Keywords: Community mental health, Capabilities Approach, Housing First, Housing First, Citizenship Proponents for transformative change in mental health systems advocate for meaningful changes to social responses for individuals with psychiatric disabilities in terms of practices, policies, and research (Nelson, Kloos, & Ornelas, in press). In this paper I will present Amartya Sen’s (1999) Capabilities Approach, a perspective concerned with the measurement of welfare and global poverty reduction, as an important methodological tool for research that pursues transformative change in mental health systems. The goal of this paper will be to contribute to the nascent literature on capabilities and mental health by articulating how Sen’s capabilities approach frames measurement and in turn how this contributes to transformative mental health. In making this case I will use Housing First, with specific reference to the Canadian At Home/Chez Soi study (Goering et al., 2011), as a concrete example of transformative mental health (Nelson, 2010). Theoretically, two arguments will be advanced: (a) that the capabilities approach synthesizes citizenship and therapeutic values and connects these values with outcome measurement (Sylvestre, Nelson, Sabloff, & Peddle, 2007; Sylvestre, unpublished manuscript) and; (b) that the capabilities approach can make several important contributions to the Housing First literature. In advancing these arguments I will start by defining and discussing citizenship and therapeutic values and relate these values to outcome measurement. I will present Housing First as an example of transformative change in community mental health that synthesizes citizenship and therapeutic values in its outcome measurement and holds a strong congruence with the capabilities approach. I will briefly define the capabilities approach and review the existing literature on the capabilities approach and mental health. I will then present this approach as it relates to measurement. Finally, I will comment on the value added of the capabilities approach to transformative mental health. Citizenship and Therapeutic Values An important dimension of changing the status quo of mental health systems is the foregrounding of citizenship values in research, practice, and policy (Sy","PeriodicalId":87260,"journal":{"name":"Global journal of community psychology practice","volume":"72 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76475438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental Health Systems Transformation through Participatory Evaluation and Action: The Transition-age Youth Appreciative Inquiry/Photovoice (“YAP”) Project","authors":"Thomas M. LaPorte","doi":"10.7728/0501201409","DOIUrl":"https://doi.org/10.7728/0501201409","url":null,"abstract":"Participatory action research and evaluation methods (PAR) have been used to help individuals to address a variety of challenges and improve the responsiveness of service systems to these challenges. To the present, however, few studies have examined applications of PAR in systems change advocacy for youth with mental health needs in the transition to adulthood (transitionage youth [TAY]). PAR may be especially beneficial in systems transformation efforts for this population, which lacks resources of other mental health system consumers for advocacy such as formal settings, specialized professional attention, and well established consumer organizations. The present paper describes how specific strategies for PAR, including Appreciative Inquiry and Photovoice, were employed in the Youth Appreciative Inquiry and Photovoice (YAP) project to: 1) gather perspectives of TAY in two statewide youth and family operated programs on needs and aspirations, current responsiveness of their programs and systems, and possible targets for program and system improvement; and 2) share these perspectives with stakeholders to effect change through a video. Findings on these perspectives as well as the impact of video showings are presented, and implications for systems change benefitting TAY and other populations facing systems-level challenges are discussed (191 words).","PeriodicalId":87260,"journal":{"name":"Global journal of community psychology practice","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83958543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Peer led Recovery Learning Communities: Expanding Social Integration Opportunities for People with the Lived Experience of Psychiatric Disability and Emotional Distress","authors":"Jonathan Delman","doi":"10.7728/0501201412","DOIUrl":"https://doi.org/10.7728/0501201412","url":null,"abstract":"Social integration is the development of mutually supportive relationships with other community members. For people with psychiatric disabilities (PD) social integration is a critical aspect of mental wellness and recovery. While people with PD generally want supportive friends, their social networks tend to be weak, often limited to treatment staff and close family. The barriers to social integration of people with PD are often high, and include public discrimination, lack of confidence, and insufficient financial resources. In the United States, community mental health providers have focused primarily on illness management and have not successfully helped clients integrate socially. To fill that gap, people with lived experience of psychiatric disability have for many years established networks of peer support, including peer-facilitated groups. With the aim of enhancing that approach, peers in Massachusetts developed the “Recovery Learning Community” model, a regional network of peer support and education operated and staffed by people with lived experience, are distinct from most other peer run programs in that they provide meetings and workshops in various community locations, not only in a single location. In this article, we describe conceptually and with examples the significant impact RLCs have on both the social integration of people with PD and the delivery of mental health services in United States and internationally.","PeriodicalId":87260,"journal":{"name":"Global journal of community psychology practice","volume":"109 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89176043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving Global Knowledge Exchange for Mental Health Systems Improvement","authors":"H. Bullock","doi":"10.7728/0501201402","DOIUrl":"https://doi.org/10.7728/0501201402","url":null,"abstract":"Policymakers globally are paying increasing attention to the challenges of providing more accessible and integrated mental health care. For transformative change to take place, thought needs to be given to the structure and form of evidence-informed change strategies at all levels: individual, organizational, community and complex, large systems. Yet few frameworks specifically consider the transfer of evidence-based programs across jurisdictions at regional and national levels; most are focused on local service implementation. This paper examines how a specific analytical model developed to assess and develop Knowledge Exchange (KE) can be applied to regional and national KE initiatives. It specifically examines the efforts of the International Knowledge Exchange Network for Mental Health (IKEN-MH), and the associated community of interest on change and improvement, to support mental health systems change at these levels. Using a theoretical model, the Promoting Action on Research Implementation in Health Services framework (Kitson, Harvey, & McCormack, 1998, Rycroft-Malone, et al., 2002), we explore systems change efforts according to the constructs of evidence, context and facilitation. By matching some exemplars in the use of KE for mental health best practice against this model, the potential strategies of the IKEN-MH to assist transformational change emerge.","PeriodicalId":87260,"journal":{"name":"Global journal of community psychology practice","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80319759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Creating Deep Democracy through Peer Wellness Services","authors":"M. Caughey","doi":"10.7728/0501201413","DOIUrl":"https://doi.org/10.7728/0501201413","url":null,"abstract":"As healthcare reform transforms systems of care, there is a compelling necessity for systems to value the contributions of persons with lived experience of psychiatric diagnosis. The concept of deep democracy, of non-violence in action, is consistent with persons who have lived experience leading healthcare reform and helping transform coercion and oppression into health and wellbeing. Consistent with deep democracy and the creation of a “culture of wellness” for persons with mental challenges, a Portland, Oregon community behavioral healthcare program utilizes Peer Wellness Specialists and initiates a new model of integrated care that values whole health. The Cascadia Peer Wellness Program utilizes the unique and powerful resource of persons with lived experience of psychiatric diagnosis by training and employing Peer Wellness Specialists to partner with clinicians and other healthcare team members in order to help those they serve find their way to recovery. Keywords: Peer wellness, peer support, deep democracy, recovery, mindfulness practice I clearly remember how deeply shaken I was when the 2006 report from the National Association of State Mental Health Program Directors came out saying that people with serious mental illness who are treated in the public system die an average of 25 years earlier than the general population (Parks, Svendsen, Singer, & Foti, 2006). I was diagnosed with schizophrenia when I was nineteen. When this report came out I had finally reached a place in my personal recovery that allowed me to work as a peer mentor in a community mental health program. I realized that during the four months I had been working at the program, four of my peers who had received services there had died prematurely. This felt very personal—like a body blow—and my response was to vow I would dedicate my work to ending premature mortality and improving the quality of life for those who have psychiatric disabilities. It is not enough for those of us with disabilities to do the hard work of creating our recovery and then to die; it is our equal right to live well and enjoy longevity. This basic right is accomplished within the context of an environment, which is imbued by “deep democracy”. Deep democracy is founded upon a social agreement for community members to adhere to non-violence in language and behavior. I became convinced of the necessity of this as a way to escape my dismal pattern of violence and hospitalization. During this time, I acted out self-harm and found myself hospitalized against my will. My behavior was repeatedly controlled by mechanical and chemical restraints. I did not know that I had any power or responsibility to address my difficult emotions except by physically struggling. Likewise, the hospital staff reinforced my beliefs that I had no control over my actions. This disturbing scene was to be repeated many times over many hospitalizations. Finally, I reached a point where I saw that I would either have to do someth","PeriodicalId":87260,"journal":{"name":"Global journal of community psychology practice","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72847512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Leadership, Empowerment, Advocacy Project (LEAP): College Education for Recovery and Transformative Change in Community Mental Health","authors":"Vicky Collins","doi":"10.7728/0501201411","DOIUrl":"https://doi.org/10.7728/0501201411","url":null,"abstract":"The Leadership, Empowerment, Advocacy Project (LEAP) students represented a heterogeneous groups of individuals commonly referred to as consumers/ peers who deal daily with severe and persistent mental health disorders and/or substance use disorders. They are often ostracized and marginalized and lack the same opportunities and supportive resources for advanced educational attainment as others. Over three semesters, LEAP prepared students with knowledge and tools to develop leadership skills as future leaders and volunteers within the mental health community and the consumer movement. This radical strategy created recovery and empowerment by producing an optimistic future for students that reflects personal goals of improved quality of life, a reduction in mental health symptoms, and the achievement of valued social roles.","PeriodicalId":87260,"journal":{"name":"Global journal of community psychology practice","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89684150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community Transformation and Collective Healing: Lessons from Pakistan, Brazil, and Zambia","authors":"C. Deloach","doi":"10.7728/0501201406","DOIUrl":"https://doi.org/10.7728/0501201406","url":null,"abstract":"Community psychology has long sought to be global in its scope and focus, particularly having liberation as a primary and overarching goal of the field. Despite seeking to stand in solidarity with marginalized and disadvantaged persons, the field has been criticized as remaining largely western-centric in its worldview and epistemology. The historic disconnect between systems of mental health –as traditionally defined within a western context – and the experiences of marginalized and indigenous peoples around the world necessitates greater consideration of local methods of healing with greater accessibility, cultural credibility, and sustainability within local communities. In this article, the authors utilize traditional mechanisms of healing in Pakistan, Brazil, and Zambia as case studies to advocate for a community based mental health promotion model that weds: 1) prevention and health promotion; 2) professional allopathic service providers partnering with paraprofessional and traditional health practitioners; and 3) community engagement and political literacy as a transformative and empowering mental health system of care that targets the individual and the community as source and location of intervention and healing. Results are aligned with community psychology goals and intended outcomes and suggest an action-oriented model in which the community serves as actors in and agents of their own collective health and healing.","PeriodicalId":87260,"journal":{"name":"Global journal of community psychology practice","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79254717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Special Issue on Transformative Change in Community Mental Health","authors":"Greg Townley","doi":"10.7728/0501201401","DOIUrl":"https://doi.org/10.7728/0501201401","url":null,"abstract":"","PeriodicalId":87260,"journal":{"name":"Global journal of community psychology practice","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82869854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrating Complexity and Infant Mental Health for Comprehensive Community Change","authors":"A. Pinto","doi":"10.7728/0501201403","DOIUrl":"https://doi.org/10.7728/0501201403","url":null,"abstract":"Efforts emerging throughout the United States and at the federal scale suggest that there is a readiness for new perspectives on mental health and community change. Complexity and infant mental health have been developing as fresh orientations within the fields of systems theory and mental health, respectively. Through Sarasota Community Studio, residents of the CentralCocoanut neighborhood in Florida are now combining the key principles of complexity and infant mental health and applying them to place-based efforts to develop a new model for transformative change and well-being. This paper highlights features of the current U.S. policy landscape that signal a readiness to address community transformation, identifies key principles of complexity and infant mental health that make these orientations especially relevant to transformation, presents Central-Cocoanut as a community case example of efforts to apply complexity and infant mental health, and begins to explore the implications of a new model for transformation that is emerging at the neighborhood scale.","PeriodicalId":87260,"journal":{"name":"Global journal of community psychology practice","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86465976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What transformation? A qualitative study of empowering settings and community mental health organizations","authors":"M. Monteiro, Rita Aguiar, Beatrice Sacchetto, Maria João Vargas Moniz, J. Ornelas","doi":"10.7728/0501201410","DOIUrl":"https://doi.org/10.7728/0501201410","url":null,"abstract":"This article is based on empowering settings research and has a two-fold objective: to propose an adaptation of the empowering community settings framework to community mental health organizations practice to foster recovery and community integration; and to discuss how the adapted framework is a relevant tool to challenge community mental health transformation at multiple levels of analysis. The current study was anchored in a larger qualitative research project. It used a case study approach, with 8 in-depth interviews with diverse participants from one community mental health organization. The adapted model proved useful to guide transformational practice in community mental health programs and for evaluation of organizational empowerment and multilevel community-oriented interventions. Suggestions and implications for future research are also presented.","PeriodicalId":87260,"journal":{"name":"Global journal of community psychology practice","volume":"30 1","pages":"1-13"},"PeriodicalIF":0.0,"publicationDate":"2014-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75766618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}